Orientador: José Inácio de Oliveira / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-17T13:01:52Z (GMT). No. of bitstreams: 1 Barbosa_EricaCarvalho_M.pdf: 854511 bytes, checksum: 57bddfc34d77705aa609dd57b5c90f3a (MD5) Previous issue date: 2011 / Resumo: As afecções resultantes de condições inadequadas de trabalho são descritas desde os primórdios da medicina. A região do corpo mais afetada são os membros superiores. Quanto aos ombros, lesões do manguito rotador constituem a causa mais comum das queixas dolorosas, dentre essas lesões encontra-se a Síndrome do Impacto (SI), responsável por 44-65% de todas as queixas de dores nos ombros. Este distúrbio pode apresentar-se de muitas formas, variando de inflamação a degeneração da bursa e dos tendões do manguito rotador no espaço subacromial. A principal consequência da SI é a perda funcional. O tratamento conservador, apesar das controvérsias ainda é a primeira escolha nesses casos. A fisioterapia dispõe de várias alternativas para esse tipo de tratamento. Acredita-se que o Método Isostretching pode contribuir na busca pela melhora das pessoas com SI. Assim, o objetivo deste estudo foi verificar a eficácia de um protocolo de tratamento baseado no Método Isostretching, em indivíduos portadores de SI, quanto à qualidade de vida e intensidade da dor. O estudo contou com 30 voluntários(16 homens e 14 mulheres), com idade média de 45,5 anos que foram submet idos um protocolo de 12 sessões de fisioterapia com o Método Isostretching, por 6 semanas. Os voluntários foram avaliados antes e após o protocolo proposto através do questionário de qualidade de vida SF-36 e escala visual numérica de dor. Foi utilizado estatística de comparação de medias para avaliar os resultados pré e pós-tratamento através de um teste t para amostras pareadas, o qual foi realizado através do software R, versão 2.12.0, através da função t.test (..., paired=TRUE). Nos resultados obtidos no questionário de qualidade de vida SF-36 observaram-se diferenças estatisticamente significantes (p<0,05) em todos os domínios. Na escala visual numérica, o valor médio foi 6,63 pontos rétratamento e, no pós-tratamento foi de 3,23 pontos, resultado este estatisticamente significativo (p<0,05). Pode-se concluir que o protocolo proposto mostrou-se eficaz na melhora da qualidade de vida e na diminuição do quadro álgico deste grupo de voluntários / Abstract: The diseases resulting from inadequate working conditions are described since the beginning of medicine. The most affected body region are the upper limbs. Such as shoulders, damage rotator cuff are the most common cause of pain complaints among these damage are the Impingement Syndrome (IS), accountable for 44-65% of all complaints of shoulder pain. This disorder can feature itself in many forms, ranging from inflammation to degeneration of the bursae and rotator cuff in the subacromial space. The main consequence of the IS is the functional loss. Conservative treatment, despite of the controversy is still the first choice in these cases. Physiotherapy has several alternatives to this sort of treatment. It is believed that the Isostretching Method can contribute to the search for the improvement of people with IS. Thus, the aim of this research is verify the efficacy of a treatment protocol based on the Isostretching Method in individuals carrier of IS, for the matter of quality of life and pain intensity. The study included 30 volunteers (16 men and 14 women) with an average age of 45.5 years who had undergone a protocol of 12 physiotherapy sessions with Isostretching Method for 6 weeks. The volunteers were assessed before and after the proposed protocol by the questionnaire of the quality of life SF-36 and visual numeric pain scale. It was used statistical comparison of media to assess the results before and after treatment using a t test for paired samples, which was performed using the R software, version 2.12.0 by t.test function (..., paired = TRUE). In the results of the questionnaire SF-36 was observed statistically significant differences (p <0.05) in all areas. In the visual numeric scale, the average was 6.63 points pre-treatment and post-treatment was 3.23 points, a result that was statistically significant (p <0.05). It can be concluded that the proposed protocol featured itself the effective in improving the quality of life and the pain decrease of this group of volunteers / Mestrado / Epidemiologia / Mestre em Saude Coletiva

Bibliographic identification DINDA, Ondřej. Kinematic analysis of patients wiht femoroacetabular impingement syndrome. Prague: Charles University, 2nd Faculty of medicine, Department of Rehabilitation and Sports Medicine, 2017. 82 pages. Supervisor: Mgr. Petra Valouchová, Ph.D. Abstract The purpose of this master thesis was to find out, if there are objective changes in biomechanics of the gait and upstairs gait by objectives with diagnosed femoroacetabular impingement syndrome and by healthy objectives. The data were acquired using kinematic analysis Qualisys and processed using software Qualisys track manager and Visual3D. The subject of research was the range of motion in hip joint in frontal and sagittal plane, than the movement of pelvis in frontal plane, movement of pelvis against thorax in transversal plane and deviation of the axis of spine in frontal plane. These parameters were documented using angular deviation of the segments, deviation of the segments in the plane or shifting of the markers in coordinate system. The conclusions were than statistically evaluated. There were 20 objects with diagnosed femoroacetabular impingement syndrome in the age from 23 to 47 years of age included in the study. In the gait research, a significant difference in angular deviation of the pelvis against thorax in...

Femoroacetabular impingement syndrome (FAI) is a hip impairment, which is according to recent studies significant contributor to hip osteoarthritis. Current research is dedicated to evaluate movement patterns of hip, pelvis and spine in patients with FAI using a motion analysis capture system. Biomechanics and kinesiology relations between spino-pelvic complex and lower limb joints led us to choose the topic of this thesis. The goal of this study was to define the movements of ankle and foot in patients with FAI syndrome and to compare with asymptomatic control group. To measure the parameters during gait we used Qualisys motion capture system and then the data were processed in Qualisys Track Manager 2020.03. We assessed the movements of ankle, rearfoot and the progression foot angle during the stance phase of gait cycle. Moreover, we measured the step length, gait speed and passive range of motion of the hip in both exploratory groups. In total we examinated 30 subjects, 15 with FAI syndrome and 15 asymptomatic volunteers with physiologic hip condition. We demonstrated three significant between group changes in average ankle range of motion in sagittal plane, foot progression angle and passive range of motion of the hip.

EFFECTS OF THORACIC SPINAL MANIPULATIVE THERAPY ON THORACIC SPINE AND SHOULDER KINEMATICS, THORACIC SPINE FLEXION/EXTENSION EXCURSION, AND PRESSURE PAIN SENSITIVITY IN PATIENTS WITH SUBACROMIAL PAIN SYNDROME By Joseph R. Kardouni, Ph.D., PT A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy, at Virginia Commonwealth University. Virginia Commonwealth University, 2013. Major Director: Lori A. Michener, PhD, PT, ATC, Professor, Department of Physical Therapy In patients with shoulder pain, the use of manual therapy directed at the spine and shoulder have been reported to provide superior outcomes to exercise based interventions or usual care without the use of manual therapy. Clinical trials have also reported improved pain and disability after thoracic spinal manipulative therapy (SMT) as a stand-alone treatment for shoulder pain. Although clinical efficacy is reported for the use of thoracic SMT for the treatment of shoulder pain, the mechanisms underlying the clinical benefits are not well understood. This limits the directed use of SMT. The benefits could be due to changes in spine or shoulder motion or neurophysiologic mechanisms of pain modulation. Elucidating the mechanism of manual therapy will aid the directed use of thoracic SMT for treating patients with shoulder pain. The research described in chapters 3 and 4 was performed to assess the effects of thoracic SMT in patients with subacromial pain syndrome with regard to biomechanical changes at the thoracic spine and shoulder and effects on central and peripheral pain sensitivity. Subjects with shoulder impingement pain symptoms were randomly assigned to receive 1 visit of thoracic SMT or sham SMT, applied to the lower, middle, and upper (cervicothoracic junction) thoracic spine. A 3-dimensional electromagnetic tracking system was used to measure thoracic and scapular kinematics during active arm elevation, and thoracic excursion at end-range of flexion and extension pre- post-treatment. Pressure pain threshold (PPT) was measured at the painful shoulder (deltoid) and unaffected regions (contralateral deltoid and bilateral lower trapezius areas) immediately pre- and post-treatment. PPT measures at the painful shoulder were used to assess peripheral and/or central pain sensitivity, and PPT at unaffected regions measured central pain sensitivity. Patient-rated outcomes measures of pain (Numeric Pain Rating Scale-NPRS), function (Pennsylvania Shoulder Score-Penn), and global rating of change (GROC) were used to assess changes in clinical symptoms following treatment. No significant differences were found between treatment groups for the thoracic kinematics or excursion, shoulder kinematics, PPT measures, or patient-rated outcomes. No differences were noted pre- to post-treatment in either group for thoracic kinematics or excursion or PPT measures. In both groups, there was a decrease in mean scapular external rotation over time during ascending arm elevation, but the change was less than measurement error. Outcome measures of NPRS, Penn and GROC indicated clinical improvements in both groups following treatment, but there were no differences between the thoracic SMT or sham SMT groups. There were no meaningful correlations between thoracic and scapular kinematics or thoracic excursion with the outcome measures of NPRS, Penn, or GROC. There was a significant positive correlation (r=0.52 , p=0.009) between change in PPT at the lower trapezius on the unaffected side and baseline Penn scores. Biomechanically, thoracic spine extension and excursion did not change following thoracic SMT, and the SMT group had no greater changes in shoulder kinematics or patient-rated pain and function than the sham SMT group. Additionally, thoracic SMT did not improve peripheral or central pain sensitivity as measured by PPT. Furthermore, improvements in patient-rated outcomes were not found to be related to changes in thoracic spine mobility, or shoulder kinematics with SMT. The single correlation between change in PPT and baseline Penn may indicate a neurophyciologic effect of SMT in patients with higher baseline function scores, but the since no other significant relationships between PPT and outcome were seen, the implications of this finding are limited. Overall, alterations in thoracic spine mobility and pressure pain sensitivity do not appear to be responsible for improved outcomes in patients with subacromial pain syndrome. Future studies should explore the effects of SMT using other measures of thoracic spine motion and experimental pain modalities, as well as greater dosing of SMT over a longer follow-up.

Title: The effect of shoulder girdle stabilization exercises on muscle activity during direct impact in rugby players with sub-acromial impingement syndrome Objectives: Comparison of muscle activity during direct impact while performing the rugby tackle to tackle bag and to player using amplitude analysis of electromyographic signal (EMG) before and after intervention programme for players with subacromial impingement syndrome (SIS). Application of intervention programme consisting stabilization excercises for shoulder complex and activation of deep stabilization muscles of the spine. Methods: Theoretical part contains topics about shoulder girdle, rugby and rugby injuries, mainly subacromial impingement syndrome and electromyography. Mentioned issues are included into the thesis due to the research of current literature from international sources and studies. Practical part regards the aplication of three- months long intervention programme for eight rugby players at junior national level with diagnosis of SIS, when pre-testing a post-testing is realized by clinical tests and EMG measurement. Results: Intervention programme was sufficient for changes of EMG amplitude values expressed as percentage of maximal voluntary isometric contraction (MVIC) in some of rugby players with SIS only for some...

Diss. (sammanfattning) Umeå : Umeå universitet, 2009. / Härtill 5 uppsatser. Även tryckt utgåva.

Title: The effect of shoulder girdle stabilization exercises on muscle activity during direct impact in rugby players with sub-acromial impingement syndrome Objectives: Comparison of muscle activity during direct impact while performing the rugby tackle to tackle bag and to player using electromyographic amplitude analysis before and after intervention programme for players with subacromial impingement syndrome (SIS). Application of intervention programme consisting stabilization excercises for shoulder complex and activation of deep stabilization muscles of the spine. Methods: Theoretical part contains topics about shoulder girdle, rugby and rugby injuries, mainly subacromial impingement syndrome. Mentioned issues are included into the thesis due to the research of current literature from international sources and studies. Practical part regards the aplication of three-months long intervention programme for eight players at junior national level with diagnosis of SIS, when pre-testing a post-testing is realized by clinical tests and EMG measurement. Assessment of enter and control examination is realized with analysis of variance ANOVA. Results: Intervention programme was sufficient for changes in EMG amplitude for two muscle groups in rugby players with SIS. Hypothesis comparing the EMG measure...

Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Department of Chiropractic, Durban University of Technology, Durban, South Africa, 2015. / Background: The most common shoulder complaint seen by physicians is shoulder impingement syndrome. There has been limited success with the current conservative treatment that has been provided for this condition. Thoracic spine and rib manipulation is purported to aid in the treatment of this condition; however there is a paucity of controlled investigations. The purpose of this study was to determine the short term efficacy of thoracic and prone rib manipulation on shoulder impingement syndrome. Methods: A randomised, placebo controlled pre-test post-test experimental design was used. Informed consent was obtained and 30 participants were recruited according to inclusion criteria and allocated to either a placebo or intervention group. Intervention consisted of thoracic spinal and rib manipulation. Data was collected, pre and post the first treatment and at a 48 hours follow up. SPSS was used to analyse the data with a p value of 0.05. Results: No statistically significant differences were seen between the groups for pain rating, range of motion of the glenohumeral joint, lateral scapula slide test or scapula isometric pinch test. The shoulder pain and disability index (SPADI) showed significant (p = 0.04) differences between the groups in terms of disability scores, with the intervention group having a great improvement in disability. No clinically significant differences were observed between the groups. Conclusion: Thoracic spine and rib manipulation appears to improve the disability associated with shoulder impingement syndrome, however further research is required with a larger sample size.

This diploma thesis is focused on the observation of influence of Vojta's reflex locomotion on the activity of shoulder girdle's muscles at patients with the subacromial impingement syndrome. We examined ten patients with the subacromial impingement syndrome as well as twenty asymptomatic individuals. We evaluated the impact of just one Vojta's reflex locomotion therapy on the activity of muscles using the Method of the Surface Electromyography. At the same time we evaluated if the reaction on the therapy had some impact on measured values. The therapy always took at least time necessary to obtain any reaction of each of the individuals, although the maximum limit of the therapy was 32 minutes. The impact of Vojta's reflex locomotion therapy had not statistical importance with regard on changes of muscle activity after and before the therapy, with regard on the symmetry of muscle activity, as well as the difference of beginning of activation of every muscle before and after the therapy. The statistical importance was influenced just by the corporeal disposition of every measured individual, which was observed on the timing. The influence of the corporeal disposition on the average measured values with regard of the left - right side symmetry has no statistical importance. The statistical...

Diss. (sammanfattning) Linköping : Univ., 2004. / Härtill 4 uppsatser.